BSN 366 ACTUAL EXAM QUESTIONS AND
VERIFIED ANSWERS EXAM PREP
◉ The nurse is planning discharge instructions for a client with type 2
diabetes who will be starting Exenatide. Which information should be
included in the discharge instructions?
A. Exenatide acts in the same way as insulin in lowering blood
glucose.
B. Inject exenatide within 30 minutes before or after a meal.
C. There are no precautions when taking Exenatide with other
medications.
D. Notify your healthcare provider if you start having abdominal pain.
Answer: D. Notify your healthcare provider if you start having
abdominal pain.
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
respiratory function and to complete intravenous antibiotic
administration.
1. Click to highlight the aspects of the assessment that require urgent
attention:
,The client's pain is 2/10. The client requests sleeping medication for
the night. She states she has horrible thoughts and memories about the
house collapsing all the time, and that it is keeping her from falling
asleep. She states "I used to be so happy before all of this happened.
Now I can;t seem to get out of this funk I am in." The client would
also prefer to be in a quieter area of the unit as she is currently by the
nurses station and hears talking and alarms constantly. Answer: -She
states she has horrible thoughts and memories about the house
collapsing all the time.
- it is keeping her from falling asleep.
-prefers to be in a quieter area of the unit.
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
respiratory function and to complete intravenous antibiotic
administration.
2. Drag from the options to complete the sentence:
After listening to the clients symptoms, the nurse realizes that she
likely has______________ related to _______________ Answer:
Acute Stress Disorder, Traumatic Stress exposure
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
respiratory function and to complete intravenous antibiotic
administration.
,3. Click to specify which client statement of behaviors is most likely
associated with each of the listed defense mechanism. Some
statements or behaviors may be consistent with more than one
mechanism. Each column must have at least one but may have more
than one answer selected. Answer:
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
respiratory function and to complete intravenous antibiotic
administration.
4. What nursing reviews the physicians orders for Clonazepam and
gives the medication as ordered. (SATA)
a. monitor calcium levels
b. assist the client to the bathroom
c. screen for orthostatic hypotension
d. assess mental status regularly
e. provide oral care at least twice a day
f. have an opioid agonist at the bedside Answer: b. assist the client to
the bathroom
d. assess mental status regularly
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
, respiratory function and to complete intravenous antibiotic
administration.
5. What other treatment might be helpful for this client? SATA
a. animal therapy
b. administration of lithium
c. consciousness-raising
d. phototherapy
e. electroconvulsive therapy
f. cognitive behavioral therapy Answer: a. animal therapy
c. consciousness-raising
f. cognitive behavioral therapy
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
respiratory function and to complete intravenous antibiotic
administration.
6. For each client statement, click to highlight the statement(s) below
that require follow up teaching by the nurse.
a. "this diagnosis means that I am crazy"
b. " I can learn to manage my thoughts better through therapy"
c. "I can use holistic approaches like medication to help my
symptoms"
VERIFIED ANSWERS EXAM PREP
◉ The nurse is planning discharge instructions for a client with type 2
diabetes who will be starting Exenatide. Which information should be
included in the discharge instructions?
A. Exenatide acts in the same way as insulin in lowering blood
glucose.
B. Inject exenatide within 30 minutes before or after a meal.
C. There are no precautions when taking Exenatide with other
medications.
D. Notify your healthcare provider if you start having abdominal pain.
Answer: D. Notify your healthcare provider if you start having
abdominal pain.
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
respiratory function and to complete intravenous antibiotic
administration.
1. Click to highlight the aspects of the assessment that require urgent
attention:
,The client's pain is 2/10. The client requests sleeping medication for
the night. She states she has horrible thoughts and memories about the
house collapsing all the time, and that it is keeping her from falling
asleep. She states "I used to be so happy before all of this happened.
Now I can;t seem to get out of this funk I am in." The client would
also prefer to be in a quieter area of the unit as she is currently by the
nurses station and hears talking and alarms constantly. Answer: -She
states she has horrible thoughts and memories about the house
collapsing all the time.
- it is keeping her from falling asleep.
-prefers to be in a quieter area of the unit.
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
respiratory function and to complete intravenous antibiotic
administration.
2. Drag from the options to complete the sentence:
After listening to the clients symptoms, the nurse realizes that she
likely has______________ related to _______________ Answer:
Acute Stress Disorder, Traumatic Stress exposure
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
respiratory function and to complete intravenous antibiotic
administration.
,3. Click to specify which client statement of behaviors is most likely
associated with each of the listed defense mechanism. Some
statements or behaviors may be consistent with more than one
mechanism. Each column must have at least one but may have more
than one answer selected. Answer:
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
respiratory function and to complete intravenous antibiotic
administration.
4. What nursing reviews the physicians orders for Clonazepam and
gives the medication as ordered. (SATA)
a. monitor calcium levels
b. assist the client to the bathroom
c. screen for orthostatic hypotension
d. assess mental status regularly
e. provide oral care at least twice a day
f. have an opioid agonist at the bedside Answer: b. assist the client to
the bathroom
d. assess mental status regularly
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
, respiratory function and to complete intravenous antibiotic
administration.
5. What other treatment might be helpful for this client? SATA
a. animal therapy
b. administration of lithium
c. consciousness-raising
d. phototherapy
e. electroconvulsive therapy
f. cognitive behavioral therapy Answer: a. animal therapy
c. consciousness-raising
f. cognitive behavioral therapy
◉ Case Study: The client is in the hospital after her house collapsed
during a hurricane. She has been in the intensive care unit for 2 weeks
and moved today to the surgical floor to continue monitoring her
respiratory function and to complete intravenous antibiotic
administration.
6. For each client statement, click to highlight the statement(s) below
that require follow up teaching by the nurse.
a. "this diagnosis means that I am crazy"
b. " I can learn to manage my thoughts better through therapy"
c. "I can use holistic approaches like medication to help my
symptoms"
